Does Insurance Cover Sober Living Homes?
Once your initial treatment program ends, an addiction treatment team develops an aftercare plan that best suits your needs. Sober living homes may be part of that plan. These residences offer a secure, stable, and drug/alcohol-free environment to aid long-term recovery. While there are numerous aftercare treatment options, below is all the information you need on sober living facilities.
What Are Sober Living Homes?
Sober living homes, also known as sober houses or recovery homes, are group homes designed for individuals recovering from addiction to drugs or alcohol. These homes provide a safe and supportive living environment for people who have completed a residential treatment program or other forms of addiction treatment.
Sober living arrangements require you to remain sober and abide by specific sober living rules and guidelines. These may include attending 12-step programs, participating in house meetings and chores, submitting to drug tests, and maintaining employment or attending school.
Sober living homes offer a range of benefits, including peer support, accountability, and structure. They can also help individuals transition back into the community after completing addiction treatment and can provide a sober and stable living environment while they work on rebuilding their lives.
It's important to note that sober living homes are not treatment centers and do not provide clinical services. Instead, they are meant to be a supportive and transitional living environment to aid in relapse prevention. Unlike halfway houses, which typically limit how long one can stay, residents of a sober community are generally encouraged to stay as long as they abide by the sober living guidelines.1
What is Insurance Coverage?
Insurance coverage refers to the financial protection an insurance policy provides in the event of an unexpected expense, loss, or damage to property, health, or other assets. Essentially, insurance coverage involves paying regular premiums to an insurance company in exchange for the promise of financial protection in case of a specified event or loss.
Insurance coverage can take many forms, including rehab insurance, also known as addiction treatment insurance or substance abuse treatment insurance. It’s a type of health insurance that covers the costs of addiction treatment services
Does Insurance Cover Sober Living?
Many insurance companies recognize the value of sober living as an essential step in recovery and may provide coverage as part of a comprehensive addiction treatment program. However, some insurance policies may not cover it since it doesn’t provide “medically necessary” services, or they may have other requirements that must be met to qualify for coverage.
Whether insurance covers sober living will depend on the specific insurance policy and the state where the policy is issued, among other factors. Therefore, it's important to verify insurance benefits and any exclusions or limitations with your provider.
Check Your Insurance for Sober Living Homes COverage
You can check your insurance coverage levels for sober living homes by calling us on 866-461-3339 or by using the form below.
Our admissions coordinators will interact directly with your insurance provider on your behalf, removing from your shoulders the burden of figuring out if your insurance will pay for your addiction treatment.
Does Insurance Cover Aftercare Treatment?
Yes, many insurance policies cover aftercare treatment as part of a comprehensive addiction treatment program. Aftercare treatment is a vital component of addiction recovery, as it helps individuals maintain their sobriety and avoid relapse after completing a formal addiction treatment program.
The specific coverage provided by an insurance policy for aftercare treatment can vary depending on the policy and other factors, but aftercare treatment generally includes services such as:
- Ongoing therapy: This can include individual therapy, group therapy, or family therapy. It is designed to help individuals continue to address any underlying issues that may contribute to their addiction.
- Medication management: Some individuals may require ongoing medication management to help manage cravings or other symptoms of addiction.
- Support groups: This can include 12-step programs, such as Alcoholics Anonymous or Narcotics Anonymous, or other peer support groups.
- Continuing care planning: This involves working with a treatment team to create a plan for ongoing care and support after completing a formal addiction treatment program.
Inpatient and Outpatient Rehabs That Take Insurance
Virtue Recovery Center has saved lives from substance abuse and restored families for years. With nationally accredited treatment facilities in multiple states, our addiction treatment specialists have created the most reliable and thorough treatment plans. Below you'll find links to more information about all of Virtue Recovery Center’s inpatient and outpatient rehabilitation facilities:
How Much Does Sober Living Cost Without Insurance?
The cost of a sober living home without insurance can vary widely depending on many factors, including location, amenities, and length of stay. However, on average, a sober living home can cost anywhere from a few hundred to several thousand dollars per month.
The cost of a sober living home typically includes the following:
- Rent: This is the home's cost and typically includes a private or shared room and common living spaces.
- Food: Some sober living homes include meals as part of the cost of rent, while others require residents to purchase and prepare their own food.
- Utilities: This includes the cost of electricity, gas, water, and other utilities.
- Amenities: This can include access to a gym, pool, or other recreational facilities, as well as transportation to support group meetings or appointments.
It's important to note that the cost of a sober living home or any form of transitional living can be a significant barrier to accessing care. However, many sober living homes offer financial assistance or sliding scale fees based on income to help make their services more affordable.
Additionally, you may be eligible for government-sponsored health insurance programs, such as Medicaid,1 which may cover the cost of sober living as part of a comprehensive addiction treatment program.
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How To Check My Insurance Coverage Levels for Sober Living Homes
Easily verify insurance coverage for sober living by filling out our confidential online form. After you submit the no-obligation form, one of our professional staff members will contact your health insurance provider to verify your sober living insurance coverage benefits. We'll then contact you as soon as possible to review your policy and discuss the next steps.
Most insurance policies are in-network with Virtue Recovery Center. Therefore, not only do we have all the answers to the common question: “Does insurance cover sober living” but our admissions coordinators will communicate with your insurance provider on your behalf. We remove the difficulties and confusion involved with contacting your provider yourself. Additionally, any details provided or discussed will be kept private.
Can You Go Into Sober Living Without Insurance?
It is possible to go into a sober living home without insurance. While some sober living homes may require insurance or proof of ability to pay as a condition of admission, many homes offer payment plans and sliding scale fees based on income. In addition, they may provide financial assistance to make their services more accessible to those without insurance.
However, sober living homes can be a significant financial commitment, and the cost of care can differ greatly, depending on many variables. Therefore, it's important to carefully consider the cost and explore all available options for financial assistance before committing to a sober living home.
If you want to enter a sober living home but do not have insurance, you may want to research options in your area to inquire about payment plans or other financial assistance. You may also want to consider reaching out to local community organizations or government agencies that provide support for addiction treatment to explore additional resources that may be available to you.
In addition, you can submit a request to one of our professional admissions coordinators today. Before discussing the next steps, a coordinator will address any inquiries regarding our sober living programs, including information about cost and payment options.
Sober Living Stats and Facts
Sober living homes offer a supportive and substance-free living setting for those recovering from drug or alcohol addiction. In addition to providing access to support groups, sober companionship, and other resources that can aid in maintaining a sober lifestyle, they also provide a regulated living environment conducive to sobriety maintenance.
Below are some statistics and facts regarding sober living:
- According to estimates, the United States has approximately 17,943 sober living facilities. Florida, New York, and California are the states with the most.1
- In the first year of recovery, 25% to 50% of people who finish a formal addiction treatment program may relapse, according to the Substance Abuse and Mental Health Services Administration (SAMHSA). However, the supportive housing atmosphere can facilitate long-term sobriety and relapse prevention.2
- A study published in the Journal of Psychoactive Drugs found that individuals who participated in sober living for at least six months had significantly better substance use and employment outcomes than those who did not participate in sober living.3
- The first sober living facilities appeared in the late 1940s. They were initially established when a collection of committed members of the Alcoholics Anonymous community founded a "12-step" house, imposing sober living rules and required attendance at AA meetings, often located in low-income housing.4
- Low-income groups are frequently at the biggest risk of relapsing because they have limited housing alternatives that promote addiction treatment, especially those with a history of homelessness.5
- Co-occurring mental disorders are linked to a higher chance of relapse.6
- Preventive measures may be necessary to avoid future alcohol issues in people who briefly cut back on drinking on their own since natural remission may be followed by a high chance of relapse.7
Check Your Insurance Coverage For Sober Living With Virtue Recovery Center
If you’re committed to recovery, submit a request to one of our professional admission coordinators today using the form below. Before discussing the next steps, a coordinator will address any inquiries regarding our programs, including interacting directly with your insurance provider on your behalf to check your insurance coverage levels for drug or alcohol addiction rehab.
Using your Health Insurance Card, fill out all of the fields on the confidential form.
A member of our staff will contact your insurer to verify if your policy will cover your treatment
We will contact you promptly with the results of the verification and discuss the next steps
*Insurance Disclaimer: Virtue Recovery Center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note that this is only a quote of benefits and/or authorization. We cannot guarantee that payment or verification eligibility will be accurate and complete as conveyed by your health insurance provider. Payment of benefits is subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service. Your health insurance company will only pay for services it determines to be “reasonable and necessary.” Virtue Recovery Center will make every effort to have all services preauthorized by your health insurance company. Suppose your health insurance company determines that a particular service is not reasonable and necessary or that a specific service is not covered under your plan. In that case, your insurer will deny payment for that service, and it will become your responsibility.
*Insurance Disclaimer: Virtue Recovery Center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note, this is only a quote of benefits and/or authorization. We cannot guarantee payment or verification eligibility as conveyed by your health insurance provider will be accurate and complete. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service. Your health insurance company will only pay for services that it determines to be “reasonable and necessary.” Virtue Recovery Center will make every effort to have all services preauthorized by your health insurance company. If your health insurance company determines that a particular service is not reasonable and necessary, or that a particular service is not covered under your plan, your insurer will deny payment for that service and it will become your responsibility.
- Polcin, Douglas L., et al. “What Did We Learn From Our Study on Sober Living Houses and Where
- Do We Go From Here?” Journal of Psychoactive Drugs, vol. 42, no. 4, Taylor and Francis, Dec. 2010, pp. 425–33. https://doi.org/10.1080/02791072.2010.10400705.
- Centers for Medicare & Medicaid Services. “Substance Use Disorders.” Medicaid, www.medicaid.gov/medicaid/benefits/behavioral-health-services/substance-use-disorders/index.html. Accessed 11 Apr. 2023.
- Jason, Leonard A., et al. “Estimating the Number of Substance Use Disorder Recovery Homes in the United States.” Alcoholism Treatment Quarterly, vol. 38, no. 4, Taylor and Francis, May 2020, 506–14. https://doi.org/10.1080/07347324.2020.1760756.
- U.S. Department of Health & Human Services . “Recovery and Recovery Support.” The Substance Abuse and Mental Health Services Administration (SAMHSA), 16 Feb. 2023, www.samhsa.gov/find-help/recovery.
- De Leon, G., et al. “Residential Drug Abuse Treatment Research: Are Conventional Control Designs Appropriate for Assessing Treatment Etfectiveness?” Journal of Psychoactive Drugs, Taylor and Francis, Jan. 1995, https://doi.org/10.1080/02791072.1995.10471676.
- Wittman, Friedner D., and Douglas L. Polcin. “The Evolution of Peer Run Sober Housing as a Recovery Resource for California Communities.” International Journal of Self Help and Self Care, vol. 8, no. 2, Portico, Jan. 2014, pp. 157–87. https://doi.org/10.2190/sh.8.2.c
- Polcin, Douglas L., Diane M. Henderson, et al. “Perceptions of Sober Living Houses Among Addiction Counselors and Mental Health Therapists: Knowledge, Views and Perceived Barriers.” Journal of Psychoactive Drugs, vol. 44, no. 3, Taylor and Francis, Aug. 2012, pp. 224–36. https://doi.org/10.1080/02791072.2012.703103.
- Andersson, Helle Wessel, et al. “Relapse After Inpatient Substance Use Treatment: A Prospective Cohort Study Among Users of Illicit Substances.” Addictive Behaviors, vol. 90, Elsevier BV, Mar. 2019, pp. 222–28. https://doi.org/10.1016/j.addbeh.2018.11.008.
- Moos, Rudolf H., and Bernice S. Moos. “Rates and Predictors of Relapse After Natural and Treated Remission From Alcohol Use Disorders.” Addiction, vol. 101, no. 2, Wiley-Blackwell, Feb. 2006, pp. 212–22. https://doi.org/10.1111/j.1360-0443.2006.01310.x.
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